Per Her Perspective

Menopause, Brain Fog, and Building a Business at Midlife: Insights from Dr. Arianna Sholes-Douglas


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Behind many thriving women-led businesses is a leader navigating the realities of perimenopause and midlife change. In this episode, Marla Noel sits down with Dr. Arianna Sholes-Douglas, board-certified OB/GYN, integrative women’s health expert, author of The Menopause Myth, and founder of Tula Wellness & Aesthetics, to talk candidly about hormone health, brain fog, intimacy, and the business systems that keep leaders steady through it all.

Together, they unpack the “myths” that leave women unprepared in their late 30s and 40s, why evidence-based hormone therapy and intimate wellness matter for performance at work, and how Dr. Arianna evolved from corporate medicine to a concierge model serving entrepreneurs and executives. She shares hard-won founder lessons, plus how meditation and mindset help reduce drama, improve decision-making, and support sustainable growth.

Practical, holistic, and refreshingly real, this conversation is a toolkit for leaders who want less chaos, more clarity, and a business (and life) that actually feels good.

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Marla Noel is the creator and host of the Per Her Perspective podcast: a series of raw, relatable conversations about leadership, challenges, finding resources and solutions in running a business, many times, with the help of other smart people in peer groups. With riveting episodes available live on all major platforms, the show inspires business owners to grow their businesses and make bold decisions with the input of others to achieve greater success and profitability. To learn more about Marla, visit
www.OCGrowthAdvisors.com.

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Per Her PerspectiveBy Marla Noel